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Instability-Related Osteoarthritis: Special Indications for Osteotomies in the Treatment of the Unstable Knee

  • R. P. Jakob

Abstract

An untreated rupture of the anterior cruciate ligament (ACL) leads to osteoarthritic changes in a large percentage of cases (Dejour etal. 1987; Jacobsen 1977; McDaniel and Dameron 1983). In 10- and 14-year follow-ups of untreated ACL ruptures, McDaniel and Dameron (1983) found an 84% incidence of meniscal lesions and an 86% incidence of osteoarthritic changes of varying degree, such as squaring of the medial femoral condyle, marginal osteophyte formation, joint-space narrowing, subchondral sclerosis, and peaking of the intercondylar eminence. An obvious relationship was noted between medial meniscectomy, joint-space narrowing with osteoarthritic changes, and varus deformity.

Keywords

Mechanical Axis Lateral Compartment Medial Compartment Osteoarthritic Change Medial Tibial Plateau 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • R. P. Jakob

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